MALISSA ANDERSON - NPI 1629966072 - Day Training/Habilitation Specialist in Stockton, CA

Q: What is Malissa Anderson's NPI number?

The NPI number for Malissa Anderson is 1629966072. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Q: What is Malissa Anderson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Malissa Anderson was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Malissa Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALISSA ANDERSON (NPI 1629966072) is an individual day training/habilitation specialist in Stockton, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1629966072

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameMALISSA ANDERSON

Location Address5634 JEREMY WAYStockton, CA 95212-2867

Mailing Address5634 Jeremy WayStockton, CA 95212-2867 · (209) 888-4949

Phone(209) 888-4969

Sole ProprietorNo

Enumeration DateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1629966072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

5634 JEREMY WAY, Stockton, CA 95212

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